# MONA M TANTAWI,MD,PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackensack Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831264316
- **Authorized official:** DR. MONA M TANTAWI M.D. (PRESEDENT)
- **Authorized official phone:** (201) 487-8222

## Contact information

- **Practice address:** 177 SUMMIT AVE, HACKENSACK, NJ 07601-1311
- **Practice address phone:** (201) 487-8222
- **Practice address fax:** (207) 487-2126
- **Mailing address:** 177 SUMMIT AVE, HACKENSACK, NJ 07601-1311
- **Mailing address phone:** (201) 487-8222
- **Mailing address fax:** (207) 487-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 25MA03599800 | NJ | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020